Care management programs

For members with acute, chronic or complex health conditions, Fallon Health's care management programs can help you improve your quality of life and your health. These programs are free of charge, and you can choose to participate or not at any time— it will not affect your benefits.

Programs for members with acute conditions

Joint Effort program helps members get home sooner after elective knee and hip surgery.

Nurse Connect provides free 24/7 access to a nurse advice line

Acute case management

Programs for members with chronic conditions

Chronic disease management programs available for those with asthma, COPD, cardiac issues and diabetes.

Our staff of health educators or nurses will work closely with you over the phone at your convenience. They will help you with the challenges of living with your disease and provide support in helping you think through health related activities by:

Helping you learn more about your disease

Giving you information about online resources and local programs

Providing educational materials that focus on the latest information about living well with your condition

Anonymous Compliance Hotline: Call our Compliance Hotline to report any concerns you may have regarding compliance, fraud, waste or abuse. You can call the Hotline 24 hours a day, seven days a week. All calls are anonymous and confidential.